Medial approach without opening the joint capsule for developmental dislocation of the hip

Araç S., Bozkurt M., Kiter E., Günal I.

Journal of Orthopaedic Science, vol.8, no.4, pp.522-525, 2003 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 4
  • Publication Date: 2003
  • Doi Number: 10.1007/s00776-003-0656-4
  • Journal Name: Journal of Orthopaedic Science
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.522-525
  • Keywords: Adductor tenotomy, Iliopsoas tenotomy, Medial approach
  • Dokuz Eylül University Affiliated: Yes


Seventy-one developmentally dislocated hips in 47 children with an average age of 11 months (range 4-16 months) were treated by the medial approach without opening the capsule followed by 6 months of hip spica-cast immobilization. At the latest follow-up 63 hips were rated excellent and good, and 8 hips showed subluxation. No avascular necrosis had occurred. It is concluded that this approach is safe and effective for treating developmental dislocation of the hip. Moreover, opening the capsule is not only an unnecessary task in this age group but also should be avoided to prevent avascular necrosis.